Thinking critically about “the evidence”

As a medical librarian, I spend a lot of time with reports of the evidence — studies, guidelines, systematic reviews — upon which evidence-based practice stands.

Recent postings in Dr. Marya Zilberberg’s Healthcare, etc. highlight the need for critical analysis of “evidence-based guidelines” and the studies from which they are built, particularly as the guidelines become the basis for current practice, reimbursement, and our judgment of what constitutes “good medicine.”


UpToDate, and Twitter

Laika’s MedLibLog posts an article summarizing a blog-and-twitter discussion of  UpToDate in How Evidence Based Is UpToDate really?

The post presents a variety of opinions, as well as taking a brief look, from an evidence-based point of view, at a study cited on UpToDate’s webpage relating improved patient outcomes to hospitals’ use or non-use of UpToDate. (Laika gives it a grade C: retrospective, observation based, half of the authors are from UpToDate.)

I found the use of Twitter almost as interesting as the topic of the post;  a resource that seems to be more “main-stream” every day. In my town, one can follow the weather and news reporters’ tweets as another stream of information.

via The Krafty Librarian